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Organization

LULU SEXUAL MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY BLASI (OWNER)
(702) 574-4095
Entity
Organization

Contact information

Practice address
2110 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119-5191
(702) 574-4095
(702) 935-9005
Mailing address
2110 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119-5191
(702) 574-4095

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
Primary
363LX0001X
Obstetrics & Gynecology Nurse Practitioner

Other

Enumeration date
06/14/2023
Last updated
06/22/2024
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